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Organization

CELEBRACES CONGRESS PLLC

Active
Other names
Celebrate Dental and Braces
Organization subpart
No

Provider details

NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING MANAGER)
(612) 859-0444
Entity
Organization

Contact information

Practice address
111 W WILLIAM CANNON DR STE 200, AUSTIN, TX 78745-5657
(512) 521-7000
Mailing address
111 W WILLIAM CANNON DR STE 200, AUSTIN, TX 78745-5657

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
04/17/2021
Last updated
04/17/2021
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